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A randomized controlled study on the clinical prognosis of uric acid-lowering treatment by febuxostat in patients with chronic heart failure with preserved ejection fraction and asymptomatic hyperuricemia

A randomized controlled study on the clinical prognosis of uric acid-lowering treatment by febuxostat in patients with chronic heart failure with preserved ejection fraction and asymptomatic hyperuricemia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500110451
Enrollment
Unknown
Registered
2025-10-14
Start date
2025-10-20
Completion date
Unknown
Last updated
2025-10-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Heart failure with preserved ejection fraction

Interventions

Uric acid-lowering group:Febuxostat+Standard therapies for HFpEF
Control group:Standard therapies for HFpEF

Sponsors

Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 85 Years

Inclusion criteria

Inclusion criteria: 1 Patients with chronic HFpEF who are over 18 and less than 85 years old, classified as NYHA grade II-III. Diagnostic criteria for HFpEF: The patient has typical symptoms and signs of heart failure, with normal or only slightly decreased LVEF (>=50%), and evidence of elevated left ventricular filling pressure (such as E/e '>8, elevated BNP and/or increased left atrial volume, etc.). 2 Hyperuricemia (UA>420umol/L in the past 3 months, if uric acid-lowering drugs were used before enrollment, the serum uric acid value should be rechecked ten days after drug withdrawal. Only those who meet the above criteria can be enrolled. 3 Participate voluntarily and sign the informed consent form.

Exclusion criteria

Exclusion criteria: 1 Gouty arthritis and kidney stones. 2 Severe liver dysfunction (aspartate aminotransferase and alanine aminotransferase > 3×ULN, total bilirubin > 2×ULN). 3 Severe renal insufficiency (eGFR<30ml/min/1.73m^2). 4 Pregnant and lactating women.

Design outcomes

Primary

MeasureTime frame
Composite endpoints (all-cause mortality, heart failure rehospitalization);

Secondary

MeasureTime frame
Left ventricular ejection fraction;E/e’;Serum uric acid level;

Countries

China

Contacts

Public ContactJun Gu

Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine

forrestgu@126.com+86 21 2327 1699

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026